Courtnee Criswell Stagner, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-140693 Issued in AL

Practice address

1515 S University Blvd
Mobile, AL 36609-2958

Phone

(251) 343-9600

Fax

(251) 380-7308

NPI assigned

Apr 5, 2019

Last updated

Jun 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Courtnee Criswell Former name

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: courtnee.stagner.1@31318.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saad Enterprises, Inc.

  dba Saad Healthcare Clinic

  • Multi-Specialty Clinic/Center
  • Mobile, AL
  • NPI 1568834042
  Medicare reassignment NPD
• Saad Healthcare Clinic LLC

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Mobile, AL
  • NPI 1346048618
  Medicare reassignment NPD
• Saad Enterprises, Inc.

  dba Saad Family Care

  • Home Health Agency
  • Mobile, AL
  • NPI 1265718969
  NPD
• Saad Enterprises, Inc.

  dba Saad Medical Clinic

  • Multi-Specialty Clinic/Center
  • D'Iberville, MS
  • NPI 1982148862
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1841752052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 S UNIVERSITY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366092958",
            "telephone_number": "251-343-9600",
            "fax_number": "251-380-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S UNIVERSITY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366092958",
            "telephone_number": "251-343-9600",
            "fax_number": "251-380-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGNER",
        "first_name": "COURTNEE",
        "middle_name": "CRISWELL",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-05",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-140693",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-140693",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RX NUMBER",
            "identifier": "7714",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEE",
            "last_name": "CRISWELL",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• St. Mary's Home (Archdiocese of Mobile)
• Patrick St.John, PA
• Emma Stabler
• Ryan Andrew Stack, AGACNP-BC
• Joseph L Stadther, M.D.
• Jean Evans Stalcup
• Stalder Plastic Surgery Alabama LLC
• William Terry Stallings, M.D.
• Marnita Monique Stallworth Jones, AGPCNP
• Althelda Campbell Stallworth

• Family Nurse Practitioner in Mobile, AL
• Providers in Mobile, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.